Background: Sleeve gastrectomy has become a popular stand-alone bariatric procedure with comparable weight loss and resolution of co-morbidities to that of laparoscopic gastric bypass. One of the dreaded complications after LSG is a gastric leak which may reach up to 5% and is most commonly occurring at the upper staple line near the gastro-esophageal junction. The use of flexible stents has been recently proposed as an alternative for the treatment of the esophago-gastric enteric leaks. We present our experience in the treatment of gastric leaks with coated self- expandable mega stents. Patients and methods: This study included 15 patients who had gastric leaks at the gastro- esophageal (GE) junction after SG. Stents were placed endoscopically in 9 patients and the other 6 patients were managed laparscopically by drainage and closure of the leakage site with insertion of feeding jejuenostomy. Results: Mega stent insertion had successfully controlled the leakage only in 2 patients; showed migration of the stent in 3 patients, failure of leakage control in another 2 patients and associated with bleeding in 1 case and marked esophageal narrowing in another case. Leaks were completely sealed in the 6 patients who had been managed with laparoscopic exploration and after feeding through the jejeunostomy tube for 2-3 weeks. Conclusions: Mega stents are proposed as an alternative therapeutic option for the management of GE junction leaks in bariatric surgery, however the complications related to the stent insertion and after removal together with the incidence of its ineffectiveness of leakage control make us reconsider the conventional drainage with the closure of the leakage site (if possible) with insertion of feeding jejeunostomy.